- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,255.02 / $8,553.00 / $12,672.00
| Facility | | $1,255.02 | $8,553.00 | $12,672.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,315.00 / $8,450.20 / $15,206.26
| Facility | | $3,315.00 | $8,450.20 | $15,206.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,190.31 / $1,428.37 / $1,767.91
| Facility | | $1,190.31 | $1,428.37 | $1,767.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.00 / $3,086.00 / $6,111.00
| Facility | | $1,480.00 | $3,086.00 | $6,111.00 |